| NPI | 1295700672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 993016) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6079) |
| 1041C0700X Social Worker, Clinical (Licence: MA 113479) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-12-30 |